With the NuvaRing, there are four simple steps to skipping your period. Be aware that some people do experience breakthrough bleeding. It is important to speak to your healthcare provider if you wish to skip your period by extended or continuous use of hormonal contraception. First, you will need at least two months of NuvaRing, or six rings in total. It's also important to have access to a calendar or a menstrual-tracking application on your phone to record any bleeding.
Here are the four steps you can use to properly skip your period using NuvaRing:. As long as you continuously replace your NuvaRing by inserting a new ring instead of leaving it out during week 4 , you should not have a period. Finally, when you want to have your period again, just take out your NuvaRing at the end of week 3 and do not insert a new NuvaRing during week 4. Your monthly withdrawal bleed should return.
Here are some additional things to remember if you are planning on skipping your period using the NuvaRing. In order skip your period with the NuvaRing, you will need to pick up your NuvaRing prescription at least a week early from the pharmacy since you will need to insert a new NuvaRing during week 4, a week earlier than normal. Some insurance companies or pharmacies may not allow you to do this. Check with your insurance company and local pharmacy ahead of time. Remember to keep track of where you are in your cycle on your calendar because you must insert your new NuvaRing right after you take your old NuvaRing out after week 3.
You may wonder if skipping your period is actually safe. Rest assured that numerous studies have supported the benefit and safety of extended or continuous use of combined oral contraceptives, as compared to traditional day contraceptives. According to a Cochrane Database Systematic Review study, women taking extended combined oral contraceptives did better in terms of headaches, genital irritation, tiredness, bloating, and menstrual pain.
This makes sense, as you are not getting the hormone fluctuations you would with a traditional 21 days of active pills followed by seven days of inactive pills when you get your period. Another concern with not having a monthly period is that it would lead to overgrowth of the uterine lining, which could then lead to uterine cancer.
The good news is that extended-cycle oral contraceptives have not been found to lead to uterine tissue thickening. On the flip side, some experts still question whether manipulating your period is really a sensible idea.
For example, the Society for Menstrual Cycle Research believes that cycle-stopping contraceptives "medicalize menstruation," and "normalize replacing a biological function with a pharmaceutical product to meet social expectations of menstrual concealment. The Society also suggests that long-term safety data on stopping menstrual cycles needs to be done, especially in teenagers, and how it affects the breast.
Vaginal ring A vaginal ring is a contraceptive device that contains the hormones estrogen and progestin. Request an Appointment at Mayo Clinic. Vaginal ring placement Open pop-up dialog box Close. Vaginal ring placement A vaginal ring is a contraceptive device that contains the hormones estrogen and progestin.
Share on: Facebook Twitter. Show references Hatcher RA, et al. Contraceptive patch and vaginal contraceptive ring. In: Contraceptive Technology. Ayer Company Publishers; Kerns J, et al. Hormonal contraceptive vaginal rings. Accessed Oct. Melmed S, et al. Hormonal contraception. In: Williams Textbook of Endocrinology. Elsevier; NuvaRing prescribing information. Whitehouse Station, N. Annovera prescribing information. Are breastfeeding or plan to breastfeed. Hormonal birth control methods that contain estrogen, like NuvaRing, may decrease the amount of milk you make.
A small amount of hormones from NuvaRing may pass into your breast milk. Consider another non-hormonal method of birth control until you are ready to stop breastfeeding. Some medicines and herbal products may make hormonal birth control less effective, including, but not limited to: Certain anti-seizure medicines such as barbiturates, carbamazepine, felbamate, oxcarbazepine, phenytoin, rufinamide and topiramate.
Women on thyroid replacement therapy may need increased doses of thyroid hormone. Blood clots: Like pregnancy, combination hormonal birth control methods increase the risk of serious blood clots see graph below , especially in women who have other risk factors, such as smoking, obesity, or age greater than Some examples of serious blood clots are blood clots in the: Legs deep vein thrombosis Lungs pulmonary embolus Eyes loss of eyesight Heart heart attack Brain stroke To put the risk of developing a blood clot into perspective: If 10, women who are not pregnant and do not use hormonal birth control are followed for one year, between 1 and 5 of these women will develop a blood clot.
Use NuvaRing exactly as your health care provider tells you to use it. NuvaRing is used in a 4-week cycle. Insert 1 NuvaRing in the vagina and keep it in place for 3 weeks 21 days. Regularly check that NuvaRing is in your vagina for example, before and after intercourse to ensure that you are protected from pregnancy.
Remove the NuvaRing for a 1-week break 7 days. During the 1-week break 7 days , you will usually have your period. Use of spermicides or vaginal yeast products will not make NuvaRing less effective at preventing pregnancy.
Use of tampons will not make NuvaRing less effective or stop NuvaRing from working. If NuvaRing has been left inside your vagina for more than 4 weeks 28 days , you may not be protected from pregnancy and you should see your health care provider to be sure you are not pregnant. Until you know the results of your pregnancy test, you should use an extra method of birth control, such as male condoms with spermicide, until the new NuvaRing has been in place for 7 days in a row.
Do not use more than 1 NuvaRing at a time. NuvaRing is easy to insert and remove: Manual insertion: After washing and drying your hands, remove NuvaRing from the foil pouch. Keep the foil pouch for proper disposal of the ring after use. Holding NuvaRing between your thumb and index finger, press the sides together while lying down, squatting, or standing with one leg up—whatever is most comfortable for you. Gently push the folded ring into your vagina. Once inserted in the vagina, there is no risk of NuvaRing being pushed too far up or getting lost.
Some women have accidently inserted NuvaRing into their bladder. Regularly check that NuvaRing is in your vagina for example, before and after intercourse to ensure you are protected from pregnancy. Removing NuvaRing: Remove the ring 3 weeks 21 days after insertion on the same day of the week it was inserted at about the same time. After washing and drying your hands, hook your index finger under the forward rim or hold the rim between your index and middle fingers. Gently pull out NuvaRing.
Place the used NuvaRing in the re-sealable foil pouch and dispose of it in a waste receptacle out of the reach of children and pets. Your menstrual period will usually start 2 or 3 days after the ring is removed and may not have finished before the next ring is inserted. To continue to have pregnancy protection, you must insert a new ring 1 week 7 days after the last one was removed even if your period has not stopped.
What should I do if my NuvaRing comes out of my vagina? If NuvaRing breaks and slips out of your vagina, throw the broken ring in your household trash out of the reach of children and pets. Insert a new NuvaRing. See Inserting NuvaRing. You should pay attention when removing a tampon to be sure that your NuvaRing is not accidentally pulled out.
Be sure to insert NuvaRing before inserting a tampon. If you accidentally pull out your NuvaRing while using tampons, rinse your NuvaRing in cool to lukewarm not hot water and insert it again right away. NuvaRing can be pushed out of expelled from your vagina, for example, during sexual intercourse or during a bowel movement.
If the expelled ring has been out of your vagina for less than 3 hours, rinse the expelled NuvaRing in cool to lukewarm not hot water and insert it again right away. If the expelled NuvaRing has been out of your vagina for more than 3 continuous hours: During Weeks 1 and 2, you may not be protected from pregnancy. Use another birth control method, such as male condoms with spermicide, until the new NuvaRing has been used for 7 days in a row, following one of the two options below: Option 1.
If NuvaRing was out of the vagina for an unknown amount of time, you may not be protected from pregnancy. Perform a pregnancy test prior to inserting a new ring and consult your health care provider.
If you leave NuvaRing in your vagina for up to 4 weeks 28 days you will still be getting pregnancy protection. Remove your old NuvaRing for 1 week 7 days and insert a new NuvaRing 1 week 7 days later. If you leave NuvaRing in your vagina longer than 4 weeks 28 days , remove the ring and check to make sure you are not pregnant.
If you are not pregnant, insert a new NuvaRing. Consider the possibility that you may be pregnant if: You miss a period and NuvaRing was out for more than 3 hours during the 3 weeks of ring use You miss a period and waited longer than 1 week to insert a new ring You have followed the instructions and you miss 2 periods in a row You have left NuvaRing in place for longer than 4 weeks If you know or suspect you are pregnant, do not use NuvaRing.
How do I dispose of NuvaRing? Store NuvaRing at room temperature for up to 4 months after you receive it. Throw NuvaRing away if the expiration date on the label has passed. Avoid direct sunlight. Place the used NuvaRing in the re-sealable foil pouch and properly throw it away in your household trash out of the reach of children and pets.
Do not flush your used NuvaRing down the toilet. Important Safety Information. Do not use NuvaRing if you smoke cigarettes and are over age Smoking increases your risk of serious heart and blood vessel problems from combination hormonal contraceptives CHCs including heart attack, blood clots, or stroke which can be fatal.
This risk increases with age and the number of cigarettes smoked. Continue Reading.
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